Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $36.31 / $36.31	Facility		$36.31	$36.31	$36.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1.00 / $2.09 / $4.47	Professional		$1.00	$2.09	$4.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.02 / $1.02 / $52.48	Professional		$1.02	$1.02	$52.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $8.32 / $8.32	Facility		$8.32	$8.32	$8.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $0.62 / $0.62 / $1.62	Facility		$0.62	$0.62	$1.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.52 / $0.52 / $0.52	Professional		$0.52	$0.52	$0.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $0.76 / $1.26 / $1.82	Professional		$0.76	$1.26	$1.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $0.68 / $0.68 / $0.68	Professional		$0.68	$0.68	$0.68
United Facility/Professional Facility Modifier Low / Median / High Price $0.32 / $0.56 / $1.05	Facility		$0.32	$0.56	$1.05
United Facility/Professional Professional Modifier Low / Median / High Price $0.43 / $0.51 / $0.79	Professional		$0.43	$0.51	$0.79